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临床上,颞颌关节及其周围的感染并不多见,本文介绍一例与用污染理疗针治疗有关的颞下颌周围脓肿患者。 病例报告 患者男性,45岁,日本籍。自诉左耳周围疼痛,牙关紧闭两天,个人史及家族史无特殊。检查发现左耳周围轻微肿胀、压痛、开口受限,左侧磨牙区不能完全闭合,下颌向右侧偏斜。头颈部X线片检查无异常,初诊为颞颌关节炎。10天后患者复诊,唇部肿胀,疼痛加重,伴高热(38.3℃),CT显示下颌髁状突周围有一低密度区,胸部X线及CT检查发现右肺上叶的S6区有一肿物。
Clinically, the temporomandibular joint and its surrounding infections are rare, this article describes an example with the treatment of contaminated physical needle treatment of patients with temporomandibular abscess. Case report Male patient, 45 years old, Japanese. Private prosecution around the left ear pain, teeth closed for two days, personal history and family history no special. Examination found slight swelling around the left ear, tenderness, limited opening, the left molar area can not be completely closed, the right mandibular deviation. Head and neck X-ray examination without exception, the initial diagnosis of temporomandibular joint arthritis. After 10 days, the patient was referred for re-examination, the lip was swollen and the pain was aggravated with high fever (38.3 ℃). CT showed a low-density area around the mandibular condyle. Chest X-ray and CT examination revealed a tumor in the S6 area of the right upper lobe.